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Medicaid
Additional Information
Its important to realize that Medicaid is not the same as Medicare. They are separate, government-run programs that typically serve different groups of people and are funded by different parts of the government.
Applying for Medicaid
The first step is to often apply for Medicaid itself. Each state has different factors that determine eligibility. In addition to your household income, you’ll likely need to provide information about your family size, disabilities, and other assets. To find out if you qualify for Medicaid in your state, visit healthcare.gov.
Once you’re ready to begin the application process, you should create an account and apply through the Health Insurance Marketplace. You can apply for Medicaid at any point of the year, there’s no need to wait for the open enrollment period to begin. If you qualify for Medicaid, the Health Insurance Marketplace will send your information to the Medicaid agency in your state. That agency will then reach out to you about enrollment and be able to help you navigate the benefits as well as answer any questions you may have. You can also apply for Medicaid directly with your state Medicaid agency. Contact your state’s Medicaid agency to speak with an agent who will guide you through the application process.
Applying for Medicaid Waivers
While every state has some form of HCBS waivers, the specific programs and application process for each varies.Regardless of what state you’re in, all applicants should be ready to provide information that proves they are in need of the services that the program provides. This will likely include a detailed report from a physician describing the applicant’s condition, how well they get around, and any other supporting documents to be submitted with the application. To begin the application process for a Medicaid HCBS waiver program, contact your state Medicaid office. You can visit the Centers for Medicare & Medicaid Services to find the contact information for your state. You’ll then be given information on how to submit an official application. Since each individual state decides the maximum number of people that can be served under any given HCBS Waiver program, it may take some time before an application is approved and benefits are awarded. Some states have very long waitlists for various programs, while others do not use a traditional waitlist process. Those who are accepted into their state’s HCBS waiver program will receive a range of medical and non-medical care, which can vary depending on the individual’s needs and situation, as well as state guidelines.
This may include:
- Personal care services and supervision, at home or in an assisted living facility
- A home health aide
- Nursing
- Medical supplies and medical equipment
- Chore and homemaking services, such as shopping, laundry, and cleaning
- Hot meal delivery services
- Respite care to relieve a primary caregiver
- Counseling services
- Home and/or vehicle modifications, such as ramps and safety rails, to increase independence
- Support and case management
- Assistance transitioning from a nursing home into the community
- Access to senior centers or adult group day care
- Transport to and from non-emergency medical appointments
- Non-medical transportation services
- Personal emergency response systemsMedicaid